Erschienen in:
29.10.2020 | Pancreas (C Forsmark, Section Editor)
Drug-Induced Pancreatic Injury (DIPI): Redefining Drug-Induced Pancreatitis in Adult and Pediatric Populations
verfasst von:
Monique T. Barakat, MD, PhD, Emory M. Manten, MD, Sohail Z. Husain, MD, Jodie A. Barkin, MD
Erschienen in:
Current Treatment Options in Gastroenterology
|
Ausgabe 4/2020
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Abstract
Purpose of review
Drug-induced pancreatitis is the second most common cause of acute pancreatitis (AP) in children and ranks as the third in adults. The aims of this targeted review are to provide a basis for conceptualizing drug-induced pancreatic injury (DIPI), to highlight specific drugs that are common or emerging risk factors, and to suggest a framework for future studies of DIPI.
Recent findings
We challenge the traditional notion of diagnosing a drug exposure as the etiology of pancreatitis only after other etiologies could not be identified. Instead, we propose rethinking the disease process as a continuum of pancreatic injury due to drug exposure that can be concomitant with other risk factors.
Summary
We favor a shift to use of the term drug-induced pancreatic injury (DIPI). There is a need to better characterize DIPI and to probe the mechanisms underlying the various types of DIPI, for the safer use of the DIPI inducing drugs by thwarting the adverse event of pancreatitis.